Organization Active NPI

Carolyn L Harestad

  • Speech-Language Pathologist
  • Federal Way, WA
National Provider Identifier
1487876702
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CAROLYN L HARESTAD
Practice address
33515 10 PL So
Building 13
Federal Way, WA 98003-7300
Phone
(253) 874-2599
Fax
(253) 874-2392
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn L Harestad, MA CCC S
Title
Owner
Phone
(253) 874-2599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X WA Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X WA

Addresses

Primary practice location

33515 10 PL So
Building 13
Federal Way, WA 98003-7300

Mailing address

33515 10 PL So
Building 13
Federal Way, WA 98003-7300
Phone (253) 874-2599

Other identifiers 3

IdentifierTypeStateIssuer
7077159MedicaidWA
9042326MedicaidWA
7077167MedicaidWA

Other names 1

  • C C Manning PhD and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

33515 10th Pl S
Ste 13
Federal Way, WA 98003
Phone (206) 874-2599

2607 Bridgeport Way W
#B
University Place, WA 98466
Phone (253) 460-5088

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487876702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33515 10 PL SO",
            "address_2": "BUILDING 13",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037300",
            "telephone_number": "253-874-2599",
            "fax_number": "253-874-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33515 10 PL SO",
            "address_2": "BUILDING 13",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037300",
            "telephone_number": "253-874-2599",
            "fax_number": "253-874-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN L HARESTAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HARESTAD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-874-2599",
        "authorized_official_credential": "MA CCC S"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7077159",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9042326",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7077167",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C C Manning PhD and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.